Travel Expense Rebates And Incentives Result In $40 Million FCA Settlement
Client Alert | less than 1 min read | 07.29.05
PricewaterhouseCoopers has agreed to pay $41.9 million to settle a qui tam civil False Claims Act lawsuit brought by a former partner alleging that the accounting firm had knowingly overbilled various government agencies for travel in conjunction with auditing and consulting work by failing to give the government credit for commissions, rebates, and incentives that travel companies and credit card issuers extended to the firm. The former partner turned whistleblower, who alleged that the accounting firm's management ignored internal complaints about the practice, reportedly is expected to receive between 15 and 25 percent of the government's $41.9 million recovery, plus $1.6 million in legal fees and costs.
Insights
Client Alert | 2 min read | 03.27.26
CMS Releases PY 2020 RADV Audit Methods and Instructions: Key Takeaways for Health Plans
On March 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released new guidance outlining the agency’s audit methods and instructions for Medicare Advantage (MA) plans subject to upcoming risk adjustment data validation (RADV) audits for payment year (PY) 2020. In addition to providing necessary context for MA plans selected for auditing, this resource clarifies CMS’s methodological and procedural expectations. While the high-level takeaways are recapped below for convenience, we strongly recommend that MA organizations selected for PY 2020 audits closely review the guidance to understand what may be involved — or required — during the agency’s review.
Client Alert | 4 min read | 03.25.26
NAIC Intensifies AI Regulatory Focus: What Health Insurance Payors Need to Know
Client Alert | 11 min read | 03.25.26
White House National AI Policy Framework Calls for Preempting State Laws, Protecting Children
Client Alert | 3 min read | 03.24.26
California Considering A Massive Expansion of Its Antitrust Laws
